Provider Demographics
NPI:1750274577
Name:MARQUITA LAYTON COUNSELING SERVICES
Entity type:Organization
Organization Name:MARQUITA LAYTON COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUITA
Authorized Official - Middle Name:SHERELL
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW-S, PIP
Authorized Official - Phone:334-464-2600
Mailing Address - Street 1:810 BOLL WEEVIL CIR STE B
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2395
Mailing Address - Country:US
Mailing Address - Phone:334-835-2445
Mailing Address - Fax:334-249-2326
Practice Address - Street 1:810 BOLL WEEVIL CIR STE B
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2395
Practice Address - Country:US
Practice Address - Phone:334-835-2445
Practice Address - Fax:334-249-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)